Mansour, Johnny
Mansour, Johnny is an sole proprietor health care provider with primary practice located at 1801 Excise Avenue Suite 109, Ontario CA 91761. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Mansour, Johnny can be contacted via phone (909) 937-6767.Contact Information
Primary practice address
1801 Excise Avenue Suite 109
Ontario CA 91761
Phone: (909) 937-6767
Fax: (909) 937-0353
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC25895 | California |
Profile Details
| NPI number | 1689740482 |
|---|---|
| LBN Legal business name | Mansour, Johnny |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 27th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689740482 | NPPES |
| California | Other | VO5363 | BLUE CROSS |
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